Ilizarov technique. Results and difficulties.
Ilizarov technique. Results and difficulties.
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伊利扎洛夫技术。
DOI：
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发表时间：
1992
影响因子：
4.2
通讯作者：
L. MUNUERA
中科院分区：
文献类型：
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作者：
E. GARC??A;Bernardo Olsen;Manuel RUIZ;N. FERNANDEZ;L. MUNUERA
100例Ilizarov方法治疗，91例患者进行了审查，从1985年2月至1990年3月。有32例胫骨骨折（29例开放性）和21例骨不连（9例感染）。肢体延长47例（胫骨28例，股骨19例）。结果如下：良好，83%;一般，13%;差，4%。器械的某些导丝经常出现轻微和间歇性疼痛（69%）。胫骨骨折平均愈合时间为4.95个月，胫骨骨不连平均愈合时间为5.83个月。在骨延长术中，胫骨平均延长指数为1.02个月/cm（延长范围为3 cm至10 cm，平均5.71 cm），而股骨平均延长指数为1.14个月/cm（延长范围为3 cm至7 cm，平均5.34 cm）。手动张紧的电线经常出现问题（24.5%），而通过测力张紧器张紧的电线仅在7.8%的情况下出现问题。尽管效果良好，但Ilizarov技术需要足够的培训才能降低总体并发症发生率（约30%）。
Of 100 cases treated by the Ilizarov method, 91 patients were reviewed from February 1985 to March 1990. There were 32 tibial fractures (29 open) and 21 nonunions (nine infected). There were 47 cases of limb lengthening (28 tibia and 19 femur). The results were as follows: good, 83%; fair, 13%; and poor, 4%. Slight and intermittent pain in some wire of the device was frequent (69%). Average bone healing time in tibial fractures was 4.95 months and 5.83 months in tibial nonunions. In bone-lengthening operations, the average lengthening index in the tibia was 1.02 months/cm (lengthenings ranged from 3 cm to 10 cm, with a mean of 5.71 cm), whereas in the femur, the average lengthening index was 1.14 months/cm (lengthenings ranged from 3 cm to 7 cm, with a mean of 5.34 cm). Manually-tensed wires produced frequent problems (24.5%), whereas wire tensed by the dynamometric tensioner produced problems in only 7.8% of the cases. Despite good results, the Ilizarov technique requires adequate training to reduce an overall complication rate (approximately 30%).